05-105633 City of Fefieral Way Electrical Permit #: 05 - 105633 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HERNANDEZ
Project Address: 3716 SW 335TH * Parcel Number: 109961 0570
Project Description: Replace meter
Owner Applicant Contractor
DAVID HERNANDEZ DAVID HERNANDEZ DAVID HERNANDEZ
3716 SW 335TH ST 3716 SW 335TH ST 3716 SW 335TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
(253)874-7845
Electrical Fixtures
Description .Quantity Description 'Quantity r Description ,Quantity
Mast or Meter Repair-Residential/M, 1
PERMIT EXPIRES April 30,2006.
Permit issued on November 1,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: e.1 / / Date: /I - ( - O S
^
THIS CARD IS TO REMAIN ON-SITE
CITY Of A Community-Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105633-00-EL
Owner: DAVID HERNANDEZ
Address: 3716 SW 335TH ST
FEDERAL WAY, WA 98023-2926
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 16 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By./th` Date I/ Z d 5
❑ Under-slab groundwork(4295)
Approved
By Date
r
1
w .!A RECEIVED
Federal Way
cO� DBY�F� (#0V 012005 PERMIT SF MF CO MF` f;j,�L DE EN FP
3932s lift AVENUE sown WA 9•PO 9n 9718 ( r
FEDERAL WAY,WA 98069-9n8 APPLICATION
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ass-a1s-s6°7•FAX 2534343.19Y OF FEDERAL WAY
www.dtuoffederalwau.com BUILDING DEPT. 1, of f Q S I
The onowt • is re,wired in orniation-an i •,. •fete a•,lication will not be acce•ted. Please •rint le• •1 in i or ,e.
SE PROPERTY INFORMATION
SITE ADDRESS 3 7/6 S u/ 3 3 5 I IT Fr cie fa I wacy Leh 91'023. SUITE/UNIT•
ASSESSOR'S TAX/PARCEL• - _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aeparateMe for Jenfldill&Val deb:000N
I PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
• 0 DEMOLITION\ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this hermit onlu)
ik � � iQce the. hA ;4- r
PROJECT NAME(Name of Business or Owner Las Name) ijk e ' `Qk vl de
• 1l1 PEOPLE INFORMATION
PROPERTY NAME
,I, r ��� PRIMARY PHONE
OWNER - I I
V i is C 2 5 3 ) f 7 ll -71(4 5
't !NO ADDRESS CITY, ZIP
37/6 5 w 335 714 ST- FrApfr„J wry W Chfrsk3
CONTRACTOR COMPANY NAME PLICANT NAME OFFICE PHONE
l( occ - cdeZ e�\.r id (0253, s/9 -P7 Lis
MAILING ADDRESSSTAT ,ZIP CELL PHONE
3_i I
,O . 5c) 33S-I ti-54 al wq\ (s�s3)gygl -Zs-703 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( ) -
B L
CONTRACTORS REGISTRATION NUMBER(copy et card required with each application) EXPIRATION DATE
/ /
APPLICANTANY NAME APPLICANT NAME OFFICE PHONE
\ d {'keV V?Ci de . ( • ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
a Architect a Tenant a Agent 0 Other(Describe) ( ) -
I CONTACT E PRI ,,• PHO E E-MAIL ADDRESS
LENDER :a; ,,,:- •i, I,ar•;,.i- .)T E
'ft. ,• • .:•I- 't •i• ,,, .,{.(,a.k, 4::,,JC.,:
WAIN.n,DRESS 0 ,STATE,ZIP
r
• ■ DETAILED BUILDING INFORMATION
EXIS 'c G USE •J•OPOSED USE
EXIST i G ASSESS I/APPRAISED V UE $ VAL ' • PROPOSED WO•
SPRINKL'RED B' I DING? a YES • NO F.• • SUPPRESSION SYSTEM P •-• • • •UIRED? a YES 0 •
WATER SE• E PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) _
SEWER SERVICE PROVIDER a LAIO;HAVEN a HIGHLINE a PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOT
SQ.FT. SQ.FT. S
BASEMENT
FIR •
SECOND
THIRD
FOURTH • .
ADDITIONAL FLOORS(DES ' BE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS warms PROPOS= Tara
"NEW HOMES ONLY" NUMBER OF BEDROOMS AILESTIMATED SELLING PRICE $
FIXTURrS
Indicate number of each type of fixture to ,- installed or relocated as p., of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOO' REFRIG.SYSTEMS
BBQS FANS HOODS( ... ,. WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT S(or Tub/ah werCombo) SHOWERS WATER CLOSETS(NIA MISC(Describe)
DI ASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS - SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) V CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the o •••n furnished by me is true and correct to the best of my knowledge,and further,that I
ant authorized by the owner of the above p es to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE \) ale Y ncxV1 de Z e l°C`-'\. DATE it"-
'0 -0 5
(Signature) (Title)
RELATIONSHIP TO PROJECT V4Owner ❑Agent a Contractor a Architect ❑ Other
.'v OIL) t'(C)4 'V I'R}�}Lyli C'�t)�E >D)fx.l'I�I - - ''t�✓}{h'.y�It'.1 II �YCTr�'J'$' tt .. -_-.•
i e;li,c)o;(e, y:e ,c e2 fE'�i r
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GAY{,`a ; ''!Vo ii ,�jtiE
�tr1
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Bulletin#100—January 7,2005 Page 2 of 4 ldHandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
t _Ali,
RESIDENTIAL 4. COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
r
Single : y :•uare F - 0 0 ' Service or Feeder Each Add'n
(First 131' 104.50;Each d• 500 ffl- ,.,0) 0 0 to 100 amp $113.50 $69.50
O Detached outbuilding or garage 0 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 0 601-800 amp 398.50 . 168.50
0 801- 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
U 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
O Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 264.50
O 601- 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ N of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
0 S of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Conunercial/Industrial Service or Feeder Ampacity
O 0-100 amps _ $69.50
❑ I01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00 •
❑ over 600 amps 152.50
•
MISCELLANEOUS SERVICE/EQUIPMENT
O 4 of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
O Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $104.50
❑ Security Alarm System 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling 0 Automation Fee on all Permits .. $5.00
a
(Per System(s) Id 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 29646.910(5)(b)4!&a)
Bulletin#100-January 7,2005 Page 3 of 4 NHandouts\Permit Application '